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Individual

ERIC BRUCE HENDERSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
921 GALLATIN AVE STE 102, NASHVILLE, TN 37206-3272
(629) 777-1520
(629) 777-1521
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12979
TN

Other

Enumeration date
03/26/2018
Last updated
07/24/2020
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